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黄燕, 王佑娟, 王威亚等. 局限性磨玻璃影在Ⅰ期肺癌中的诊断价值[J]. 四川大学学报(医学版), 2014, 45(2): 316-319.
引用本文: 黄燕, 王佑娟, 王威亚等. 局限性磨玻璃影在Ⅰ期肺癌中的诊断价值[J]. 四川大学学报(医学版), 2014, 45(2): 316-319.
HUANG Yan, WANG You-juan, WANG Wei-ya. et al. Value of fGGO in Diagnosing Stage Ⅰ Lung Cancers[J]. Journal of Sichuan University (Medical Sciences), 2014, 45(2): 316-319.
Citation: HUANG Yan, WANG You-juan, WANG Wei-ya. et al. Value of fGGO in Diagnosing Stage Ⅰ Lung Cancers[J]. Journal of Sichuan University (Medical Sciences), 2014, 45(2): 316-319.

局限性磨玻璃影在Ⅰ期肺癌中的诊断价值

Value of fGGO in Diagnosing Stage Ⅰ Lung Cancers

  • 摘要: 目的 分析不同性质局限性磨玻璃密度影(focal area of ground-glass opacity, fGGO)的CT鉴别诊断要点,探讨fGGO在Ⅰ期肺癌诊断中的价值。方法 纳入2007~2010年在四川大学华西医院胸外科行胸部CT显示肺部有孤立病灶(直径≤5 cm)的患者。根据实性成分含量分为单纯型磨玻璃影(pGGO)、混合型磨玻璃影(mGGO)和实性3组,分别计算各组的恶性率。根据术后病理诊断将患者分为Ⅰ期肺癌和良性组,分别对两组中各CT征象进行量化分析,并在两组间进行比较。结果 共纳入202例病灶,其中fGGO 63例(包括15例pGGO和48例mGGO),fGGO在Ⅰ期肺癌的发生率高于良性病灶〔40.2% (45/122) vs. 20.0% (18/90), P<0.05〕。fGGO总恶性率为71.4%(45/63)。mGGO、pGGO和实性病灶的恶性率分别为75.0%、60.0%和48.2%。恶性fGGO毛刺、分叶、血管集束征的发生率均超过70%,且高于良性组(P<0.05)。结论 fGGO是提示肺癌的重要征象。mGGO为恶性的可能性很大,尤其是当病灶出现毛刺、分叶及血管集束中的一种或几种征象,高度怀疑恶性。

     

    Abstract: 【Abstract】 Objective To determine the value of focal area of ground-glass opacity (fGGO) for early detection and diagnosis of lung cancers. Methods We reviewed clinical data of all patients whose chest CT images showed isolated lesions ≤5 cm in diameter in the Department of Chest Surgery at West China Hospital, Sichuan University between 2007 and 2010. According to the volume of solid components, the lesions were classified as pure ground-glass opacity (pGGO), mixed ground-glass opacity (mGGO) or solid lesions. The malignant ratio and stage of lesions were calculated based on the postoperative pathological tests. The characteristics of CT signs were compared between the benign and malignant lesions. Results Of the 202 cases, 63 (included 15 pGGO and 48 mGGO) had fGGO with a malignant ratio of 71.4% (45/63). The percentage of malignant tumors in the mGGO, pGGO and solid lesions was 75.0%, 60.0% and 48.2% respectively. Stage Ⅰ lung cancers had an occurrence of spiculation, lobulation and vascular convergence in fGGO of over 70%, higher than that of the benign tumors (\P<0.05). Conclusion fGGO is an important indicator of lung cancer. mGGO is highly likely to be malignant, particularly when one or more signs of spiculation, lobulation and vascular convergence appear.

     

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